Individual
DARIA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
351 W HUBBARD ST STE 210, CHICAGO, IL 60654-4493
(773) 972-9145
Mailing address
5510 N KENMORE AVE APT 2A, CHICAGO, IL 60640-1537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.013167
IL
1041C0700X
Clinical Social Worker
Primary
149.020808
IL
Other
Enumeration date
08/18/2018
Last updated
01/10/2021
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